Individual
CHASE NEITZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0453
Mailing address
601 S PACA ST, APARTMENT 1, BALTIMORE, MD 21230-2432
(410) 570-3632
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0005967
MD
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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